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Individual

ELIZABETH MAXWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
901 N ENTRANCE AVE, KANKAKEE, IL 60901-2026
(815) 939-4506
Mailing address
669 OLDE OAK DR, BOURBONNAIS, IL 60914-2422

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.012041
IL

Other

Enumeration date
11/13/2019
Last updated
11/13/2019
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